FORM 1023-EZ for PROJECT PRAYER BOX

Field Data
EIN 46-5003219
Case Number EO-2014237-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT PRAYER BOX
Organization’s Mailing Address 458 E VERDUGO AVENUE APARTMENT L
City BURBANK
State CA
ZIP 91501
Accounting period End 12
Primary contact name MIKE ROBIDEAU CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAIGE LEWIS
PRESIDENT
458 E VERDUGO AVE APT L
BURBANK CA 91501

Officer/Director/Trustee Two

PAULETTE NEMEC
DIRECTOR
6911 SPRIGG ROAD
FULSHEAR TX 77441

Officer/Director/Trustee Three

TINA BOUTELLE
DIRECTOR
1501 LORRAINE LOOP
AUSTIN TX 78758

Officer/Director/Trustee Four

JAN JARKE
DIRECTOR
7532 BONNIEBROOK
AUSTIN TX 78735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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